Formative Research: A Necessary Step for the Implementation of a Home Fortification Program in Cameroon.
Loading...
Date
2015
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Objectives: To understand caregivers' knowledge on anemia, barriers to optimal infant and young
child feeding (IYCF) practices, and the acceptability and appropriate use of micronutrient powders
(MNP) in households of children 6-23 months, in order to inform an implementation of MNP in
Cameroon.
Methods: The study was conducted in health districts of the North and South regions, areas with
high prevalence of anaemia among young children. There were two steps: 1) situation analysis
including focus group discussions and key informant interviews, 2) 30 day study to assess MNP
acceptability and utilization. Caregivers (N=101) were interviewed at baseline, day 10, and day 30.
Data were both qualitative and quantitative.
Results: The situation analysis demonstrated that knowledge on anaemia and IYCF practices
were not appropriate. Potential MNP food vehicles were identified. The 30 day study showed high
rates of acceptability (100%). Adherence was challenging for the group on a rigid schedule (30
MNP sachets for 30 days) mainly due to child illness related interruption, which is why a flexible
schedule (15 MNP sachets for 30 days) was found more feasible. Opposition to and rumours
regarding MNP were observed in some cases. The main motivation factors for giving MNP cited by
caregivers were: make child healthy, improve immune system and stimulate appetite.
Conclusions: The formative research demonstrated the importance of a strong community sensitisation. A comprehensive communication strategy and community-based capacity building
are essential to maximise acceptability, appropriate MNP utilization, adherence, and prevent
rumour generation. Further, implementing MNP provides a great opportunity to strengthen IYCF.
Description
Keywords
Citation
Ejigui Jeanne, Lezama Ines, Bissek Anne, Suter Melanie, McLean Judy. Formative Research: A Necessary Step for the Implementation of a Home Fortification Program in Cameroon. European Journal of Nutrition & Food Safety. 2015 Special issue; 5(5): 975-976.